BEAVERCREEK DENTAL CARE INC (NPI# 1326680133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326680133 |
| Entity Type | Organization |
| Organization Name | BEAVERCREEK DENTAL CARE INC |
| Practice Address |
2141 N Fairfield Rd Suite A Beavercreek OH 45431 |
| Practice Telephone | 9374273131 |
| Mailing Telephone | 9374273131 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | OPAL ANDERSON (COO) |
| Authorized Official Telephone | 7349969966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mitakides DDS | Doing Business As Name - Organization |
| Street Address |
2141 N FAIRFIELD RD SUITE A |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| 1972789865 | Katherine A. Welbaum | Occupational Therapy Assistant | 4801 Springfield St., Dayton, OH 45431 | 2008-01-10 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890847 | Denny Dental Services LLC | Clinic/Center | 3869 Indian Ripple Rd, Beavercreek, OH 45440-3410 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on BEAVERCREEK DENTAL CARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.